Evidence map›Paper›PMID 41703670›Full record

SynthesisJNCI cancer spectrum2026

Diet, nutrition, and hormone therapy for prostate cancer: a systematic review with implications for future interventions.

Isabella Pahulu, Matthew Calumpit, Paul Tominez, Jonathan J Shih, Sasha Ebrahimi, Nicole V Deville, Raynald Samoa, Tannaz Moin, Mina S Sedrak, Luca F Valle and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in JNCI cancer spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Isabella PahuluDepartment of Epidemiology and Population Health, Stanford University, Stanford, CA, United States.ORCID 0009-0002-5626-0103
Matthew CalumpitDepartment of Biophysics and Biochemistry, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0009-0005-5479-8331
Paul TominezDepartment of Surgery, Tripler Army Medical Center, Honolulu, HI, United States.ORCID 0009-0007-8575-1100
Jonathan J ShihSchool of Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0002-8651-7806
Sasha EbrahimiDepartment of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0009-0008-4154-5978
Nicole V DevilleDepartment of Epidemiology and Biostatistics, University of Nevada, Las Vegas, Las Vegas, NV, United States.ORCID 0000-0002-2199-8805
Raynald SamoaDepartment of Diabetes, Endocrinology, and Metabolism, City of Hope, Duarte, CA, United States.ORCID 0000-0002-7208-8764
Tannaz MoinDepartment of Medicine, Division of Endocrinology, Diabetes, and Metabolism, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-5035-6641
Mina S SedrakDepartment of Medicine, Division of Hematology/Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-8379-391X
Luca F ValleDepartment of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-5781-4174
Michael SteinbergDepartment of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.
Amar U KishanDepartment of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-7437-6591
Patricia A GanzDepartment of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-1841-4143
Kekoa TaparraDepartment of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID 0000-0001-8493-3868

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven excellent prostate cancer outcomes, comorbidity management is critical to survivorship. While hormone therapy or androgen deprivation therapy (ADT) is a mainstay of treatment, they can negatively impact quality of life and survivorship through cardiovascular, sexual, and metabolic effects. ADT-induced metabolic syndrome causes impaired glucose tolerance, muscle mass loss, and weight gain. This systematic review examined recent randomized clinical trials (RCTs) investigating the impact of diet and weight management strategies on mitigating ADT-related adverse effects.

methodsA systematic review of RCTs (2015-2025) was performed using PubMed/Embase following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. To identify how diet and weight management impacts ADT symptoms, search terms included: "prostate cancer," "diet," "nutrition," "glucagon-like peptide-1 receptor agonists" (GLP-1RA), and "ADT." Risk of Bias 2 (ROB2) and Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tools evaluated RCT quality.

resultsOf 2799 publications, 16 met inclusion/exclusion criteria (range, 23-96 patients/RCT). No RCTs had a high risk of bias or evaluated GLP-1RA. Outcomes included metabolic labs, body composition, and quality of life. Mediterranean and low-carbohydrate diets with exercise reduced cardiovascular and metabolic risk factors, with variable durability. Creatine trended toward increasing lean muscle mass. Multidisciplinary care and community involvement improved accountability and outcome durability.

conclusionsThis comprehensive review of diet and ADT in prostate cancer identified nutritional interventions that were safe, feasible, and may be recommended as part of prostate cancer treatment and survivorship. Future RCTs should evaluate optimal diet duration, longer follow-up, multidisciplinary patient support, and novel anti-metabolic therapies like GLP-1RA.

Indexed as

Androgen AntagonistsAntineoplastic Agents, HormonalDietProstatic NeoplasmsHumansMaleMetabolic SyndromeQuality of LifeRandomized Controlled Trials as TopicAndrogen AntagonistsAntineoplastic Agents, Hormonalandrogen deprivation therapycreatinediethormone therapylow-carbohydrate dietMediterranean dietnutritionprostate cancerROB2supplementssystematic reviewvitamins

Identifiers

PMID41703670
PMCPMC12972670

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.